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Individual
MRS. MELINDA R SHORT-RUSSELL
Active
Individual
MRS. MELINDA R SHORT-RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN9444048
FL
363L00000X
Nurse Practitioner
Primary
APRN11010479
FL
363LF0000X
Family Nurse Practitioner
APRN11010479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109165300
—
FL
Enumeration date
09/21/2007
Last updated
01/30/2026
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